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Re: active management of the placenta or third stageFrom: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)Wed Mar 15 21:51:47 2006
In theory oxytocics given after delivery have a slightly higher incidence of PPH, but whether you give it with crowning, with the anterior shoulder, or after delivery, the clinical difference is minimal. The later it is, the more PPH there is, but, the earlier, the more retained placentae, so you pays your money, you takes your choice. Personally, I like it given with the anterior shoulder, but our midwives are very relaxed about it and it rarely happens that way. Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of S Osterling M.D. Sent: Thursday, 16 March 2006 2:57 PM To: Multiple recipients of list OB-GYN-L Subject: active management of the placenta or third stage here's a link to a family practice article about active management of the third stage of labor. it recommends: oxytocin IV at delivery of anterior shoulder rapid cord clamp traction on the cord I am one of the few docs at my hospital that gives oxytocin after the baby is out. What do the rest of you think? http://www.aafp.org/afp/20060315/1025.html S. Osterling M.D. California
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